HLTC43H3 Lecture Notes - Lecture 11: Living Wage, Proportional Representation, Unemployment Benefits
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Lecture 11: The Future Health Policy and Health Care in Canada –
Polis vs. market
Social determinants of health
Polis Versus the Market
Welfare state of community
Share risk across population
State intervention to ensure quality
o Polis is about society caring about family and it’s about equity.
o State makes sure there is access to certain goods. Aim is to
reduce poverty and inequality.
o Canada has been more of a polis than the US.
Role of political ideology – Neo-Liberalism
Minimal state role – “Freedom from government”, deregulation.
o US is a market driven society.
o High inequality.
QueenSenateHouse of Commons
Supreme Court of CanadaFederal Court of Canada
The State in Modern Society
Legislative, executive and judicial institutions.
Canada, UK: overlap between Cabinet, Parliament (Lower House),
Upper House (House of Lords UK), and Senate (Canada).
Municipal, provincial and federal governments have role in health
o All levels of government have a specific role in health. At the
municipal level it’s public health.
o Have to deal with vaccine and sanitation. Things to do if
o Delivering health care.
o Provincial and territorial governments to pay for these services.
o Provides direct services only to Aboriginals.
o It collects more money so collects more taxes and cost-sharing
health care in the provinces and territories.
o Lester B. Pearson said provincial and territorial governments
should split cost 50/50.